Negative caregiving effects among caregivers of veterans with dementia
The American Journal of Geriatric Psychiatry, 02/24/2012
Bass DM et al.
– Family caregivers, the foundation of long-term care for veterans with dementia who live at home, experience a variety of negative caregiving effects. Negative effects are greater when veterans exhibit behavior problems, require extensive assistance with personal care, and have a greater number of coexisting chronic conditions. Negative caregiving effects are an important target for interventions that support family caregivers and promote continued care at home.
486 family caregivers of veterans with dementia who received primary care from the Department of Veterans Affairs healthcare system and lived at home
6 negative caregiving effects were described as follows: unmet needs, 4 role and intrapsychic strains, and depression
Predictive factors included the following: cognitive impairment, behavior problems, personal care dependency, number of chronic conditions, and characteristics of caregiving context
Sizeable portions of caregivers experienced negative caregiving effects; most common were unmet needs, social isolation, and depression
Cognitive, behavioral, and functional symptoms of dementia and other coexisting chronic conditions explained significant variation in all negative caregiving effects
Caregiving context had little impact
Behavior problems were the most consistent predictor; personal care dependency and other chronic conditions were also important
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